URI and ear pain/Cystic Fibrosis/ - Answers acute otitis media
how confirm dx of otitis media? - Answers otoscopy
acute otitis media - Answers a condition of otalgia (ear pain), fever, and other sx along with finings of a
red, opaque, poorly moving, bulging tympanic membrane
myringotomy and placement of pressure equalization tubes - Answers a surgical procedure involving TM
incision and placement of PE tubes to ventilate the middle ear and help prevent reaccumulation of the
middle ear fluid
ottis media with effusion - Answers condition in which fluid collects behind the TM but w/o signs and sx
of AOM. sometimes called serous OM
pnematic otoscopy - Answers process of obtaning tight ear canal seal with speculum and then applying
pos and neg pressure with rubber bulb to verify TM mobility
tympanometry - Answers ezam that measures the transfer of acoustic energy at varying lvls of ear canal
pressure, reflects TM mobility
typanocentesis - Answers surgical procedurein which a small incision is made in TM to dran pus and fluid
from middle ear space.
common pathogens for otitis media - Answers strep, h flu, morazella
child older than 6 mowith mild sx, treatment - Answers watchful waiting bc many sx of otitis media can
resolve
which abx use for OM? - Answers amoxicillin
when place ear tubes? - Answers recurrent episodes of OM (>3 in 6 mo or >4 in year)
complications of OM - Answers mastoiditis, temporal bone osteomyelitis, facial nerve paralysis
if fail several abx treatments, what do? - Answers tympanocentesis and culture of middle ear fluid
sx of mastoditis - Answers swelling and redness behind ear
if fail amoxicillin, change abx to what? - Answers amoxicillin-clavulanate
what preventative things can be done to prevent OM? - Answers pneumococcal and influenza vaccine,
tobacco smoke avoidance, increase in breast feeding
initial step when suspect cerebral palsy (CP) - Answers history of developmental milestones, neurologic
exam
, next step when child has CP - Answers vision and hearing testing, consider brain MRI, arrange therapy
with specialist
cerebral palsy - Answers disorder of nonprogressive movement and posture that results from an insult
to or anomaly of the devloping CNS.
developmental delay - Answers failsure of a child to reach developmental milestones of gross motor,
fine moto, language or social skills at anticipated ages
most common childhood movement disorder - Answers CP
characteristics of child with CP - Answers prone to seizures, 60% mentally retarded, deafness, visual
impairment, swallowing difficulty
do infants with CP usually have risk factors? - Answers most don't have risk factors
are low apgars a risk factor for CP? - Answers no
cause of CP - Answers most likely an antenatal insult, from a ONE TIME CNS insult
diseases that carry risk of CP? - Answers infection such as cytomegalovirus, GBS, HSV)
other risk factors for CP - Answers intraventricular hemorrhage, especially if extends into white mater
and causes periventricular leukomalacia, acute bilirubin encephalopathy (kernictreus), stroke, brain
trauma
why hard to dx CP at birth? - Answers immaturity of CNS, babies have reflexes until 6 mo of age
concerning developmental findings in children with CP (examples) - Answers stepping response after 3
mo, moro >6 mo, asymmetrical tonic neck reflex beyond 6 mo
hemiplegia - Answers paralysis of one side of the body, UE>LE
diplegia - Answers four limb involvement, LE>UE
spastic quadriplegia - Answers four limb involvement, sig impairment of all extremities,
motor quotient 75-100 - Answers minimal impairment CP
motor quotient 55-75 - Answers mild impairment
40-55 - Answers moderate
<55 - Answers severe
2.5 yo boy with recurrent sinopulmonary infections and bronchiectasis. FTT - Answers suspect CF
evaluation for CF - Answers sweat chloride test
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